Register for the Free Wills Network

Dementia UK works in partnership with the National Free Wills Network to offer face-to-face appointments with a solicitor. Complete this simple form to be sent a pack.

Title
First name Surname
Please tell us what best describes your connection to dementia

Address*
Please enter your address below

Street Address Address Line 2 Town County Postcode Country

Email address

Dementia UK may use your email address to send information about leaving a gift in your Will.
Phone number
Dementia UK may use your telephone number to contact you to confirm your free Will request.
Post
- No contact via post please
Dementia UK will update you via post on the huge difference you are making to families living with dementia and how you can support us in the future. If you would prefer not to hear from us, please let us know.
By email
- Yes
- No
By text
- Yes
- No
By telephone
- Yes
- No
Dementia UK are committed to protecting your personal data. Please view our full privacy policy at www.dementiauk.org/privacypolicy. If you would like to change how you are contacted by us, simply contact our Supporter Care team 0300 365 5500 or email supportercare@dementiauk.org
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Email
This field is for validation purposes and should be left unchanged.

• If you would like to change how you are contacted by us, simply contact our Supporter care team 0300 365 5500 or email at supportercare@dementiauk.org
• For further information about how we protect and use your data please see our privacy policy at www.dementiauk.org/privacypolicy.

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